Why they delay: a study of teenage family planning clinic patients.

Why they delay: a study of teenage family planning clinic patients.
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为什么他们拖延:一项针对青少年计划生育诊所患者的研究。

DOI:
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发表时间:
1981
期刊:
影响因子:
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通讯作者:
Clark Sd
Clark Sd
中科院分区:
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文献类型:
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作者:
Zabin Ls;Clark Sd

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青少年在寻求计划生育诊所的节育帮助前平均要等上1年左右。近十分之四的青少年来诊所只是因为他们担心自己怀孕了;只有七分之一的人在期待第一次性行为时寻求帮助。虽然3/4的人在到达诊所之前的一段时间使用非处方方法,但大多数人使用有效性可疑的方法,其中1/2的人在最后性交时没有使用任何方法。黑人比白人更有可能以处女身份或刚开始性交不久的身份来诊所就诊。害怕怀孕是最后去诊所的主要原因,而且经常提到害怕家人会发现。在非医疗方法使用者中发现的较短的延迟表明,扩大和改进这种使用的倡议可能有助于青少年在其性职业的早期阶段预防怀孕,并加速他们采用更有效的方法。如果诊所被认为是免费提供非处方方法和一般避孕建议的来源,青少年可能会更早地利用它们。也需要对这些方法进行彻底的咨询,作为处方方法的后备。强调保密的重要性也被指出,尽管也有人指出,能够与父母谈论这些问题的青少年更有可能在开始性交之前或之后不久来到诊所。数据来自1980年对8个城市的计划生育服务的广泛调查,涉及1200多名青少年。
: Teenagers wait an average of about 1 year before seeking birth control help at a family planning clinic. Nearly 4 in 10 teens come to the clinic only because they fear they are pregnant; only 1 in 7 come for help in anticipation of their 1st sexual encounter. While 3/4 use a nonprescription method at some time before they arrive at the clinic, most use methods of doubtful effectiveness and 1/2 of these used no method at last intercouse. Blacks are more likely than whites to come to the clinic as virgins or soon after beginning intercourse. Fear of pregnancy is the main reason given for finally going to the clinic, and fear that the family would find out was often mentioned. Shorter delays found among users of nonmedical methods suggest that initiative to expand and improve such usage may help teenagers prevent pregnancies during the early part of their sexual careers and also accelerate their adoption of more effective methods. If clinics become known as a source of free supplies of nonprescription methods as well as of general contraceptive advice, they might be more utilized by teenagers earlier. Thorough counseling about these methods as a backup to prescription methods is also needed. The importance of emphasizing confidentiality is noted, although it is also noted that teenagers who are able to talk to their parents about such matters are more likely to come to the clinic before or soon after they begin having intercourse. Data came from a 1980 survey of a wide range of family planning services in 8 cities, representing over 1200 adolescents.